Active
providence medical foundation
Foreign Nonprofit Corporation · Entity Number E32136422023-6 · NV Business ID NV20232795815
- Formed
- May 23, 2023
- Annual List
- Due by May 31, 2027
- Managed by
- Not on file
Registered agent
C T CORPORATION SYSTEM**
701 S CARSON ST STE 200 · Carson City, NV 89701
Principal office
Not on file
Mailing address
Not on file
Officers, managers, and members
| Name | Role | Address |
|---|---|---|
| Katherine Broderick | Secretary | 200 W. Center Street Promenade, Suite 800 · Anaheim, CA 92801 |
| Katie Gonzalez | Treasurer | 200 W. Center Street Promenade, Suite 800 · Anaheim, CA 92801 |
| Jill Duplechan | President | 200 W. Center Street Promenade, Suite 800 · Anaheim, CA 92801 |
| Susan Huang | Director | 200 W. Center Street Promenade, Suite 800 · Anaheim, CA 92801 |
| Jill Duplechan | Director | 200 W. Center Street Promenade, Suite 800 · Anaheim, CA 92801 |
| James Benoit, M.D. | Director | 200 W. Center Street Promenade, Suite 800 · Anaheim, CA 92801 |
| Niki Balginy | Director | 200 W. Center Street Promenade, Suite 800 · Anaheim, CA 92801 |
| Nikhraj Brar, M.D. | Director | 200 W. Center Street Promenade, Suite 800 · Anaheim, CA 92801 |
| Laureen Driscoll | Director | 200 W. Center Street Promenade, Suite 800 · Anaheim, CA 92801 |
| Matt Ho | Director | 200 W. Center Street Promenade, Suite 800 · Anaheim, CA 92801 |
| Sandra Mathur, M.D. | Director | 200 W. Center Street Promenade, Suite 800 · Anaheim, CA 92801 |
| Beth Nunn | Director | 200 W. Center Street Promenade, Suite 800 · Anaheim, CA 92801 |
| Nan Onest | Director | 200 W. Center Street Promenade, Suite 800 · Anaheim, CA 92801 |
| Elizabeth Sander Difiori | Director | 200 W. Center Street Promenade, Suite 800 · Anaheim, CA 92801 |
| Jerome Wang, M.D. | Director | 200 W. Center Street Promenade, Suite 800 · Anaheim, CA 92801 |
| Antonio Ferrey | Director | 200 W. Center Street Promenade, Suite 800 · Anaheim, CA 92801 |
| Bob Just | Director | 200 W. Center Street Promenade, Suite 800 · Anaheim, CA 92801 |
| Raul Marquez, MD | Director | 200 W. Center Street Promenade, Suite 800 · Anaheim, CA 92801 |
| Mark Pardoe | Director | 200 W. Center Street Promenade, Suite 800 · Anaheim, CA 92801 |
| Roscoe Marter | Director | 200 W. Center Street Promenade, Suite 800 · Anaheim, CA 92801 |
| Keith Marton, MD | Director | 200 W. Center Street Promenade, Suite 800 · Anaheim, CA 92801 |
| David Mast | Director | 200 W. Center Street Promenade, Suite 800 · Anaheim, CA 92801 |
| Michael Sugarman, MD | Director | 200 W. Center Street Promenade, Suite 800 · Anaheim, CA 92801 |
| Darryl Elmouchi, M.D | Director | 200 W. Center Street Promenade, Suite 800 · Anaheim, CA 92801 |
Information is drawn from the public record and may lag the state by up to one day. NVAnnualReport.com is not affiliated with the Secretary of State of Nevada.